AMY SUSAN VANDENBERG Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002813

License Status

NOT RENEWED

Business

First Name

AMY SUSAN

Last Name

VANDENBERG

Business Name

AMY SUSAN VANDENBERG

Original Issue Date

03/06/1992

Expiration Date

12/31/1993

City

KAUKAUNA

State

Zip

54130

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/28/2005